Provider First Line Business Practice Location Address:
3045 EAST AVENUE
Provider Second Line Business Practice Location Address:
CENTRAL SQUARE HEALTH CENTER
Provider Business Practice Location Address City Name:
CENTRAL SQUARE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-676-2935
Provider Business Practice Location Address Fax Number:
315-671-6976
Provider Enumeration Date:
07/10/2006